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An assessment of the causes of malnutrition in Ethiopia: A ...

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Table 4.2: Present discount values (PDV) <strong>of</strong> economic benefits associated with<br />

reduc<strong>in</strong>g <strong>the</strong> prevalence <strong>of</strong> low birth-weight.<br />

Pathway<br />

PDV per low<br />

birthweight<br />

averted (US$)<br />

Reduced <strong>in</strong>fant mortality 95<br />

Reduced neonatal care and reduced costs <strong>of</strong> <strong>in</strong>fant/child illness 81<br />

Productivity ga<strong>in</strong> from reduce stunt<strong>in</strong>g 180<br />

Productivity ga<strong>in</strong> from improved cognitive function 434<br />

Reduction <strong>in</strong> <strong>the</strong> costs <strong>of</strong> chronic diseases 74<br />

Intergenerational benefits 122<br />

Sum <strong>of</strong> PDV <strong>of</strong> <strong>the</strong> six benefits US$ 986<br />

Range <strong>of</strong> average program costs per low birthweight averted US$14 to 100<br />

Source: Alderman et al. 2003<br />

from a lack <strong>of</strong> awareness or understand<strong>in</strong>g <strong>of</strong> <strong>the</strong>se services. Thus, a stronger effort to<br />

communicate behavior change must be exerted at <strong>the</strong> grassroots community level. Maternal<br />

<strong>malnutrition</strong> is particularly common <strong>in</strong> <strong>the</strong> regions where preventive health care (prenatal and<br />

postnatal) are low (Figure 4.2). As can be seen from <strong>the</strong> figure, higher percentages <strong>of</strong><br />

undernourished mo<strong>the</strong>rs are found <strong>in</strong> <strong>the</strong> Afar, Gambella, Benishangul-Gumuz, and Somali<br />

regions where preventive healthcare utilization is also low.<br />

4.2.4. Psychosocial care<br />

It is widely recognized that <strong>the</strong> normal growth and development <strong>of</strong> <strong>in</strong>fants and young<br />

children requires care that adequately meets <strong>the</strong>ir basic physical needs (nutrition, health,<br />

Figure 4.2: Prenatal and postnatal cl<strong>in</strong>ic utilization and chronic energy deficiency<br />

among women aged 15 to 49, by region.<br />

Percent<br />

100<br />

90<br />

80<br />

70<br />

60<br />

50<br />

40<br />

30<br />

20<br />

10<br />

0<br />

Tigray<br />

Affar<br />

Amhara<br />

Prenatal care<br />

Postnatal care<br />

Undernourished mo<strong>the</strong>r (BMI

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